Henderson, Dwayne

Henderson, Dwayne is an sole proprietor health care provider with primary practice located at 3350 Clara Ave A, Saint Louis MO 63120-1634. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Henderson, Dwayne can be contacted via phone (314) 400-8041.

Contact Information

Primary practice address
3350 Clara Ave A Saint Louis MO 63120-1634
Phone: (314) 400-8041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1821469453
LBN Legal business name Henderson, Dwayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2015
Last updated Oct 8th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers